Organization
LEONARD I ELLIS DDS LLC
Active
Other names
Ellis Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEN ELLIS DDS (OWNER)
(856) 638-1800
Entity
Organization
Contact information
Practice address
4600 CHURCH RD, MOUNT LAUREL, NJ 08054-3200
(856) 638-1800
Mailing address
4600 CHURCH RD, MOUNT LAUREL, NJ 08054-3200
(856) 638-1800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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